Assessment of the quality of primary care for the elderly according to the Chronic Care Model

Authors

  • Líliam Barbosa Silva Universidade Federal de Minas Gerais; Escola de Enfermagem
  • Sônia Maria Soares Universidade Federal de Minas Gerais; Escola de Enfermagem
  • Patrícia Aparecida Barbosa Silva
  • Joseph Fabiano Guimarães Santos Hospital Governador Israel Pinheiro
  • Lívia Carvalho Viana Miranda Secretaria Municipal de Saúde; Centro de Saúde
  • Raquel Melgaço Santos Universidade Federal de Minas Gerais; Escola de Enfermagem

DOI:

https://doi.org/10.1590/1518-8345.2331.2987

Keywords:

Health of the Elderly, Primary Health Care, Self Care, Outcome and Process Assessment (Health Care), Diabetes Mellitus, Hypertension

Abstract

Objective: to evaluate the quality of care provided to older people with diabetes mellitus and/or hypertension in the Primary Health Care (PHC) according to the Chronic Care Model (CCM) and identify associations with care outcomes. Method: cross-sectional study involving 105 older people with diabetes mellitus and/or hypertension. The Patient Assessment of Chronic Illness Care (PACIC) questionnaire was used to evaluate the quality of care. The total score was compared with care outcomes that included biochemical parameters, body mass index, pressure levels and quality of life. Data analysis was based on descriptive statistics and multiple logistic regression. Results: there was a predominance of females and a median age of 72 years. The median PACIC score was 1.55 (IQ 1.30-2.20). Among the PACIC dimensions, the “delivery system design/decision support” was the one that presented the best result. There was no statistical difference between the medians of the overall PACIC score and individual care outcomes. However, when the quality of life and health satisfaction were simultaneously evaluated, a statistical difference between the medians was observed. Conclusion: the low PACIC scores found indicate that chronic care according to the CCM in the PHC seems still to fall short of its assumptions.

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Published

2018-01-01

Issue

Vol. 26 (2018)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Assessment of the quality of primary care for the elderly according to the Chronic Care Model. (2018). Revista Latino-Americana De Enfermagem, 26, e2987. https://doi.org/10.1590/1518-8345.2331.2987